Effectiveness of peri-operative psychological interventions for the reduction of postsurgical pain intensity, depression, anxiety and pain catastrophising: A systematic review and meta-analysis
Pooled result · Pain intensity after surgeryResult — go to the resultd −0.45 95% CI −0.77 to −0.13Authors' conclusion
Moderate-quality evidence exists that peri-operative psychological interventions can significantly reduce pain intensity and anxiety postsurgery.
Study context
- Population
- Adults undergoing any type of surgery27 RCTs
- Participants
- 1,462 vs 1,528
- Comparison
- Psychological intervention vs Control
- Psychological interventionn = 1,462
- Controln = 1,528reference
- Outcome
- Pain intensity reduction after surgery
Methodological detailsrandom-effects models, moderator analyses
- Random-effects models
- Moderator analyses
Pooled result
Pain intensity after surgery
d
−0.45
95% CI −0.77 to −0.13
As reported in the abstract
Further pooled results
| Outcome | d (95% CI) |
|---|---|
| Anxiety after surgery | −0.33 (−0.54 to −0.11) |
Moderator analyses
- Interventions delivered by a psychologist more effective than those by other professionals
- CBT seemed the most beneficial for surgical patients
- Findings in other moderator analyses heterogeneous
Original publication
Effectiveness of peri-operative psychological interventions for the reduction of postsurgical pain intensity, depression, anxiety and pain catastrophising: A systematic review and meta-analysis. Eur J Anaesthesiol. Published 5 March 2025. doi:10.
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